Al-Azhar University
Faculty of medicine
General surgery department
Course specification
Basic Information:
Program Title
Bachelor of Medicine and Surgery; MB, BCh
Department offering the course
Main:

General Surgery

GIT surgery
Minor:

Orthopaedic Surgery

Urosurgery

Plastic Surgery

Neurosurgery

Cardiothoracic surgery

Anaesthesia & Critical Care
Academic year / Level Sixth
Date of specification approval 1/1/2013
Teaching Hours
Total: 256 hours
Lecture: 64 (2 hrs)
Tutorials: 64 (2 hrs)
Practical/ Clinical:
Allocated Marks 900
Allocated Duration January through December (as per student)
Course Director: Prof/ Ahmed Abdel-Aziz Abdel-Ghaffar Head of Department
Teaching Staff: All Professors, Assistant Professors, and Lecturers & Assistant Lecturers of
participating departments.
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Professional Information:
1- Objectives of the Course:
General Surgery Course Provides Graduate with:
A- Knowledge, skills and behavior in the fields of general surgery and surgical specialties that help
students to be a safe general practitioner.
B- Have the ability to solve surgical problems and perform specific tasks needed from a primary
health care physician.
2- Intended Learning Outcomes of Course (ILOs):
A. Knowledge and Understanding:
By the end of the course, students will be able to:
. Explain the physiological and pathological processes
related to surgical problems.
. Describe the pathogenesis, anatomical basis of surgical
problems and the anatomical basis of operative
management.
.Describe the clinical manifestations of common surgical
conditions and their complications.
. Describe emergency surgical conditions.
. List different modalities of investigations used for diagnosis
of diseases (laboratory, radiology, histopathology,
endoscopy.).
. Explain principles of disease screening and prevention.
. Outline the management of surgical emergencies.
.Outline the operative and non-operative modalities in the
management of common surgical conditions, (indications
and contraindications).
.Explain basic principles of operative surgery like types of
incisions, wound closure, methods of haemostasis, etc.
2
.Describe techniques of specified minor surgical procedures
that he/she may perform during the postgraduate training
year.
.Outline principles of the common surgical procedures
including developing techniques, like minimally invasive,
bariatric, transplantation procedures, etc.
.Explain preoperative preparation and postoperative care of
common surgical procedures.
.Recognize different iatrogenic lesions caused during
common surgical practice.
. Demonstrate knowledge of ethical issues commonly
encountered during surgical practice.
B. Intellectual Skills
By the end of the course, students will be able to:
-Integrate basic and clinical data to reach a diagnosis.
-Select and prioritize appropriate investigations for a
defined clinical situation and interpret the results.
-Correlate clinical data and results of investigations to
reach a diagnosis.
- Generate a differential diagnosis for a clinical finding or
set of findings.
-Diagnose iatrogenic, interventional and peri-operative
complications from given relevant data.
-Identify the surgical conditions of public health and decide
when to report and refer to higher health authority
- Use evidence based medicine in solving clinical problems.
-Formulate appropriate management plan for individual
patients presenting with common surgical diseases.
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- Formulate initial line of treatment in surgical
emergencies.
C. Professional Skills
By the end of the course, students will be able to:
Obtain and record relevant medical history from the patient
or a relative.
Perform general physical examination of patients with
common surgical problems including:
i.
Proper Abdominal Examination
ii.
Examination of Breast.
iii.
Examination of Inguinoscrotal swellings.
iv.
Urologic examination (abd, pelvis, prostate and
genitalia)
v.
Examination of swellings.
vi.
Examination of ulcers.
vii.
Examination of Lower Limb.
viii.
Examination of limbs to detect fractures, infections,
swellings, skeletal deformities and length
discrepancy.
ix.
Examination of joints properly to identify infection,
deformity, ligament injury, effusion and dislocations.
x.
Proper Head and Neck Examination
xi.
Examination of local defects in cleft lip and palate
patient.
xii.
Neurological examination of patients to detect
common neurosurgical problems.
xiii.
Examination of the spine (vertebrae of neck and
trunk).
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xiv.
Examination of a convalescent patient after
cardiothoracic surgery to Identify and diagnose the
abnormal findings to refer to specialized center.
xv.
Calculation of surface area and depth of simulated
burn patient.
Identify pathologic findings in different modalities of
imaging.
Write safe prescriptions of different types of drugs based
on patient's weight, age and health conditions to manage
common and life threatening conditions.
Practice basic principles of self and patient safety while
dealing with surgical patients.
Perform bladder catheterization in male manikin. (preceded
by video demonstration)
Simulate first aid measures for injured and critically ill
patient:
i.
Simulate first aid measures in Shock and Bleeding
(internal and external)
ii.
Perform Cardiopulmonary resuscitation.
iii.
Perform emergency tapping of tension
pneumothorax or massive pleural effusion.
iv.
Simulate first aid measures in burn patient
v.
Suture superficial wound.
vi.
Perform wound dressing and bandage.
vii.
Simulate first aid measure in patient with amputated
limb.
viii.
viii Simulate first aid measures in life threatening
maxillofacial trauma.
Identify and explain the use of equipment, disposables and
instruments commonly used in surgery.
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Communicate clearly, sensitively and effectively with
patients and their care givers, regardless of their social,
cultural or ethnic background.
D. General Skills:
By the end of the course, students will be able to:
1. Respect the interests and dignity of patients and
families.
2. Respect superiors, colleagues and any other
members of the health profession.
3. Communicate effectively.
4. Work cooperatively within a team.
5. Practice self and peer evaluation.
6.
Manage time effectively.
3- Course Contents
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
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18
19
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Topic
Basic disease processes
Peri-operative care
Burns and principles of plastic surgery
Skin and subcutaneous tissues
Muscles, tendons, and fascia
Hand and foot
Vascular surgery
Lymphoreticular disorders
Head and neck
Breast
Endocrinal surgery
Esophagus
Stomach and duodenum
Liver
Biliary system
Pancreas
Spleen
Peritoneum, omentum and mesentery
Small and large intestine
Appendix
Anal canal
Abdominal wall and hernias
Topics Weight
3%
3%
2%
2%
1.5 %
1.5 %
5%
1%
3%
3%
4%
2%
3%
2%
3%
2%
2%
1%
6%
1%
2%
4%
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Number of Lectures
5
5
2
2
2
2
6
2
4
3
5
3
3
3
4
2
2
2
7
1
3
3
23
24
25
26
27
28
29
30
31
32
33
34
Review subjects
Pediatric surgery
Cardiothoracic surgery
Urology
Testis and scrotum
Trauma
Orthopedic surgery
Neuro-surgery
Anesthesia and emergency medicine
Minimal invasive and laparoscopic surgery
Ethics and communication skills
Surgical radiology
2%
5%
2%
5%
2%
4%
5%
3%
8%
1%
1%
5%
100%
3
5
3
10
3
5
10
10
20
1
1
10
152
4- Teaching and Learning Methods
-Lectures
- Tutorials
-Clinical rounds
-learning classes
- Directed Self education
Facilities Required for Teaching and Learning:
Halls for tutorials
Audiovisuals
Lecture Hall
Seminar Halls
Patient Examination Halls
Skill Laboratory
Faculty & ASUSH Libraries with subscription to high impact periodicals in general
& specialty surgeries
Electronic learning including module site and department interactive site
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CD of instruments, pathology, radiology, seminar cases, & teaching /exam tables
and schedules.
5- Teaching and learning methods for students with learning
difficulties
1- Revision lectures and tutorial classes outside schedule
2- Assignments
6- Student Assessment Methods:










Weekly assessments during clinical period
Presentations
Written exam: [MCQ, Short Essay]
OSCE
Slide exam
[Special surgery]
Final exam
WRITTEN EXAMS: [MCQ, Short Essay]
PRACTICAL EXAMS: [Clinical, Slides]
ORAL EXAM
Time Schedule
 Every week:
 Weekly Assessments in Tutorials
 Weekly Presentations
 END of YEAR:
 Practical Exam: Clinical / Slides
 Written Exam
 Multiple Choice Questions
 Short Essay
 Long Essay
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 Case Studies
 Oral Exam
7- List of References
Bailey and Love's Short Practice of Surgery 25th Edition
Norman S. Williams, Christopher J.K. Bulstrode, P. Ronan O'Connell (Editors);
London: Edward Arnold (Publishers), 2008.
CURRENT Surgical Diagnosis & Treatment 13th Edition
Lawrence W. Way, Gerard M. Doherty (Editors); McGrow Hill Companies
(Publisher); 2003
Browse's Introduction to the Symptoms & Signs of Surgical
Disease 4th Edition
Norman L. Browse, John Black, Kevin G. Burnand, William E. G. Thomas
(Editors); Hodder Arnold (Publisher); 2005
Clinical Cases and OSCEs in Surgery, 2nd Edition Manoj
Ramachandran, Marc A Gladman (Editors); London: Churchil
Livingstone (Publisher); 2011
Others
Department CD
Student Guide Book Department of General Surgery
Course Coordinator:
Prof. Dr. Ahmed Abdel-Aziz Abdel-Ghaffar
Date: 1/1/2015
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